Personalized Health Nutrition, PLLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

005387 Issued in NY

Legal business name

PERSONALIZED HEALTH NUTRITION, PLLC

Practice address

3675 Southwestern Blvd
Orchard Park, NY 14127-1732

Phone

(716) 710-7022

NPI assigned

Mar 27, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candi Possinger, MS,RD,CDN,CDENPI 1205973153

Title

Owner/Ceo

Phone

(716) 512-1147

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candi S Possinger, RD,CDE

  • Metabolic Nutrition Registered Dietitian
  • Orchard Park, NY
  • NPI 1205973153
  Medicare reassignment Care Compare group NPD Authorized official
• Lynda Michelle Hart, R.D.

  • Registered Dietitian
  • Buffalo, NY
  • NPI 1750637674

  Dietitian, Registered

  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1639563653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "14086",
            "telephone_number": "716-710-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 SOUTHWESTERN BLVD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271732",
            "telephone_number": "716-710-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HEALTH NUTRITION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "POSSINGER",
        "authorized_official_first_name": "CANDI",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "716-512-1147",
        "authorized_official_credential": "MS,RD,CDN,CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlo M Perfetto, M.D.
• Lauren Marie Pernick
• Tracy H Perrapato, DO
• Lorraine Jeanette Perry, PH.D.
• Robert Pershyn, PTA
• Stefanie Peruzzini
• Peter Accetta, M.D. (Orchard Park Dermatology)
• Peter J Riznyk DPM PLLC
• Lori C Petersen, MS ED
• Andrew Craig Peterson, RPA-C

• Registered Dietitian in Orchard Park, NY
• Providers in Orchard Park, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.